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Found 19544 cases where Vaccine is PNC13

Case Details (Reverse Sorted by Appearance Date)

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VAERS ID:651113 (history)  Vaccinated:2016-08-25
Age:0.3  Onset:2016-08-26, Days after vaccination: 1
Gender:Male  Submitted:2016-09-07, Days after onset: 12
Location:Foreign  Entered:2016-09-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: JPSA2016SA162891
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPIPV: DTP + IPV (NO BRAND NAME)UNKNOWN MANUFACTURERDM018A0UNUN
HIBV: HIB (ACTHIB)SANOFI PASTEURL15262SCUN
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETH15H02A2UNUN
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.L0260622UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Decreased appetite, Faeces discoloured, Haematochezia, Intussusception, Mood altered, Pyrexia, Ultrasound scan, Vomiting, X-ray
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Depression (excl suicide and self injury) (broad), Noninfectious diarrhoea (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Initial unsolicited report received from a physician via the authority, (Ref: V16100437) on 01 September 2016. This case involves a 04-month-old male patient who was vaccinated with 0.5ml third primary dose of ACTHIB (batch number: L1526) via subcutaneous route; with third primary dose of ROTATEQ (batch number: L026062); with a third primary dose of PCV13V batch number: 15H02A); with first primary dose of DPT-IPV (batch number: DM018A) (expiry date, dose, dose in series, route and site of administration were not reported) all on 25 August 2016. The patient''s medical history and Concomitant medications were not reported. Birth-weight: 3364 g. On 26 August 2016, one day following the vaccination, the patient had developed pyrexia. On 27 August 2016 pyrexia subsided. On 28-Aug-2016, pyrexia occurred again. On 29 August 2016, at 14:00, 04 days following the vaccination the patient had black stools, which was subsequently repeated with blood. Same day around 21:00, the patient became in a bad mood, and poor feeding was also noted (Intussusception). On 30 August 2016, 05 days following the vaccination, the patient experienced vomiting, and he visited the reporting hospital, was hospitalized and diagnosed with intussusception. The patient''s laboratory data included ultrasound and X-ray (result not specified). The corrective treatment was not reported. The patient was recovering from the Intussusception (on 30 August 2016). The outcome of other event was not reported. Upon internal review, the company decided to code the event: pyrexia, black stools, black stools was noted, which was subsequently repeated with blood, vomiting, poor feeding and bad mood which were mentioned in the narrative but was not coded by HA. Diagnosis: Intussusception. Reporting physician''s seriousness assessment: Serious (Hospitalization or prolongation of hospitalization). Reporting physician''s causality assessment: Unknown. Reporting physician''s comment: It was unknown whether there was possibility of other factors for the event. List of documents held by sender: none. Sender''s Comments: 4 month old infant had intussusception and bad mood following HIB (PRP/T) VACCINE, ROTATEQ, PCV13V and DPT-IPV vaccines. Time to onset though compatible with the event, as intussusception is common in infant, and is caused by hyperplasia of payer patches, idiopathic, Meckel diverticulum and gastrointestinal infection especially by Rota virus. Patient has also taken Rota virus vaccine which induces immunity by gastro intestinal infection which could be triggering factor. As multiple vaccines are administered the role of each vaccine cannot be assessed.

VAERS ID:650911 (history)  Vaccinated:2016-09-02
Age:0.2  Onset:2016-09-02, Days after vaccination: 0
Gender:Female  Submitted:2016-09-06, Days after onset: 4
Location:North Carolina  Entered:2016-09-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Urine culture, blood culture, lumbar puncture
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALS 0IMRA
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC. 0IMRA
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETH 0IMLA
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC. 0PO 
Administered by: Unknown     Purchased by: Other
Symptoms: Blood culture, Crying, Culture urine, Decreased appetite, Irritability, Lumbar puncture, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Fussy, lack of appetite, crying, fever 102.

VAERS ID:650956 (history)  Vaccinated:2016-04-06
Age:0.4  Onset:2016-05-15, Days after vaccination: 39
Gender:Male  Submitted:2016-09-06, Days after onset: 114
Location:Louisiana  Entered:2016-09-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Congenital hydronephrosis; SVT in utero; Gr 3 reflux=surg repair (pyeloplasty) 2/4/16,
Diagnostic Lab Data: XRAY showed RLQ intussusception
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL)SANOFI PASTEURC4944AA1IMLL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM162591IMLL
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.L0238701PO 
Administered by: Unknown     Purchased by: Public
Symptoms: Abdominal X-ray, Intussusception, X-ray abnormal
SMQs:, Gastrointestinal obstruction (narrow)
Write-up: Intussusception.

VAERS ID:650983 (history)  Vaccinated:2016-08-25
Age:81.0  Onset:2016-09-02, Days after vaccination: 8
Gender:Female  Submitted:2016-09-06, Days after onset: 4
Location:Vermont  Entered:2016-09-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM357631IMLA
Administered by: Other     Purchased by: Unknown
Symptoms: Cellulitis, Infection
SMQs:
Write-up: Patient experienced a Cellulitis infection post injection. Patient was prescribed Cephalexin to treat infection on 9/2/2016 to be taken 3 times a day for 7 days.

VAERS ID:650991 (history)  Vaccinated:0000-00-00
Age:  Onset:0000-00-00
Gender:Female  Submitted:2016-09-01
Location:Unknown  Entered:2016-09-06, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 2016408016
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETH  UNLA
Administered by: Other     Purchased by: Other
Symptoms: Abscess, Cellulitis
SMQs:
Write-up: This is a spontaneous report from a contactable physician received via Pfizer sales representative. A female patient (age 45-50, Unit unknown) of an unspecified ethnicity received PREVNAR 13, via an unspecified route of administration at single dose in the left deltoid on an unspecified date. The patient medical history and concomitant medications were not reported. The patient developed an abscess and cellulitis after 1 week of administration on unknown date. Antibiotic treatment was needed for 1 week. The abscess and cellulitis were resolved after antibiotic treatment.

VAERS ID:651024 (history)  Vaccinated:2016-08-30
Age:71.0  Onset:2016-08-30, Days after vaccination: 0
Gender:Female  Submitted:2016-09-06, Days after onset: 7
Location:Indiana  Entered:2016-09-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM679510IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site swelling, Injection site warmth, Pain, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Swollen raised area around and below the injection site which is hot to the touch. Area is approximately 2-3 inches by 4-5 inches. Arm is sore, especially when moved. Area is still like this after a week.

VAERS ID:651067 (history)  Vaccinated:2016-09-01
Age:66.0  Onset:2016-09-04, Days after vaccination: 3
Gender:Female  Submitted:2016-09-06, Days after onset: 2
Location:Nebraska  Entered:2016-09-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Celebrex, Nexium, Crestor, Multivitamin
Current Illness: none
Preexisting Conditions: Hyperlipidemia, Arthritis, GERD
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLULAVAL QUADRIVALENT)GLAXOSMITHKLINE BIOLOGICALSY7X9Z17IMRA
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM593400IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site reaction, Pain, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 3 welts on left upper arm below the injection site. welt #1 3.5cmx 4cm, welt #2 2cm x2cm, welt 3 3cm x 4 cm. Small amount of soreness.

VAERS ID:651093 (history)  Vaccinated:2016-09-01
Age:0.3  Onset:2016-09-02, Days after vaccination: 1
Gender:Male  Submitted:2016-09-06, Days after onset: 4
Location:Mississippi  Entered:2016-09-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Propranolol; BENADRYL
Current Illness: URI; Hemangioma
Preexisting Conditions: Hemangioma
Diagnostic Lab Data: CBC; Chemistry; CRP; EKG
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALS33E9E1IMRL
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.M0104401IMLL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHN050761IMLL
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.M0196901PO 
Administered by: Private     Purchased by: Private
Symptoms: C-reactive protein, Electrocardiogram, Full blood count, Hypophagia, Laboratory test, Lethargy
SMQs:, Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad)
Write-up: Lethargy, poor PO intake the day after vaccines given. He had URI and had been on BENADRYL x 1 d before vaccine. Propranolol since late July 2016.

VAERS ID:651174 (history)  Vaccinated:2016-08-29
Age:0.5  Onset:2016-08-29, Days after vaccination: 0
Gender:Male  Submitted:2016-09-06, Days after onset: 8
Location:Massachusetts  Entered:2016-09-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: GERD
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALS3J6K32IMUN
HIBV: HIB (ACTHIB)SANOFI PASTEURUI552AAA2IMUN
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM772752IMUN
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.M0048832PO 
Administered by: Private     Purchased by: Unknown
Symptoms: Abnormal behaviour, Eye movement disorder, Hyperhidrosis, Hypotonia, Irritability, Posture abnormal, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Dementia (broad), Dystonia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)
Write-up: Came in on 8/29/16 for vaccine update-PEDIARIX, HIB, PREVNAR, ROTATEQ-pt. was slightly fussy prior to vaccines and had been up the night before; temp check at office. Rectal temp 99.1 prior to vaccines. At 6pm; mom reported pt was "sweaty"; pt''s head flopped forward and eyes appeared to roll back for a few seconds per dad. Pt very "floppy" vomited and seemed out of it for 3 minutes then seemed fine.

VAERS ID:653215 (history)  Vaccinated:2016-08-06
Age:73.0  Onset:2016-08-06, Days after vaccination: 0
Gender:Female  Submitted:2016-08-27, Days after onset: 21
Location:New Jersey  Entered:2016-09-06, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BYSTOLIC; Amlodipine; Atorvastatin; Clopidogrel; Valsartan; Metformin;
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHMT93190UNLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site erythema, Vaccination site rash, Vaccination site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: About 3 hours after receiving vaccine, patient experienced redness, warm to touch ,rash, approximately 5 inches around the site of vaccine.

VAERS ID:653218 (history)  Vaccinated:2016-08-26
Age:65.0  Onset:2016-08-26, Days after vaccination: 0
Gender:Female  Submitted:2016-08-30, Days after onset: 4
Location:California  Entered:2016-09-06, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atenolol; losartan; HCTZ
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM793210IMLA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Chills, Diarrhoea, Erythema, Malaise, Pain in extremity, Peripheral swelling, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Chills, diarrhea, malaise, joint (knee) pain over next 48 hrs. Arm swollen, red, hot, painful.

VAERS ID:653221 (history)  Vaccinated:2016-08-22
Age:1.3  Onset:0000-00-00
Gender:Male  Submitted:2016-09-06
Location:Massachusetts  Entered:2016-09-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL)SANOFI PASTEURC5076AA3IMRL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM772753IMLL
Administered by: Other     Purchased by: Public
Symptoms: Product preparation error
SMQs:, Medication errors (narrow)
Write-up: PENTACEL vaccine mixed incorrectly. HIB was mixed with saline diluent. PENTACEL will need to be given again.

VAERS ID:653244 (history)  Vaccinated:2016-08-18
Age:73.0  Onset:2016-08-18, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:2016-09-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril; Pravastatin; Amlodipine
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETH  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Arthritis, Chills, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Six hours later I had violent chills, fever. The next day I had all joint pain that lasted a week. It triggered arthritis.

VAERS ID:653389 (history)  Vaccinated:2016-08-16
Age:67.0  Onset:2016-08-16, Days after vaccination: 0
Gender:Female  Submitted:2016-09-05, Days after onset: 20
Location:California  Entered:2016-09-06, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Hypercholesterolemia; Osteopenia; Varicose veins
Diagnostic Lab Data: Cervical spine, xray-degenerative cervical spondylosis most pronounced at C5-C6, less at C4-C5 - C6-C7
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHN357610IMLA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Dysphagia, Erythema, Hypertension, Hypoaesthesia, Local reaction, Spinal X-ray abnormal, Spinal osteoarthritis, Testicular swelling
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Vestibular disorders (broad), Hypersensitivity (broad), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Local reaction (swelling and erythema) dizziness, initially she had trouble swallowing but this passes in a few minutes. Her right hand cannot feel heat starting about 6 hours after the injection on the opposite arm. She felt light-headed and bp was high the next day. Still cannot feel heat right hand.

VAERS ID:653391 (history)  Vaccinated:2016-08-31
Age:71.0  Onset:2016-08-31, Days after vaccination: 0
Gender:Female  Submitted:2016-09-06, Days after onset: 6
Location:Ohio  Entered:2016-09-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM773390IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Day of vac. upper left arm got rash - red, pruritus - now spread toward elbow, some warmth. Took BENADRYL and used calamine lotion. To continue antihistamines and cool compresses.

VAERS ID:654007 (history)  Vaccinated:2016-09-01
Age:84.0  Onset:2016-09-02, Days after vaccination: 1
Gender:Female  Submitted:2016-09-03, Days after onset: 1
Location:Texas  Entered:2016-09-06, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURUI644AA0IMRL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHN050770IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Redness around site with little swelling, cold compress.

VAERS ID:657208 (history)  Vaccinated:2016-05-31
Age:1.2  Onset:2016-06-03, Days after vaccination: 3
Gender:Female  Submitted:2016-09-06, Days after onset: 95
Location:Michigan  Entered:2016-09-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Coronary artery fistula; Seizure like activity; Dev. delays
Diagnostic Lab Data: (+) chest xray
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HIBV: HIB (ACTHIB)SANOFI PASTEURUI400AA3IMLL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM564173IMRL
Administered by: Private     Purchased by: Private
Symptoms: Aspiration, Chest X-ray abnormal, Choking, Dyskinesia, Hypotonia, Increased upper airway secretion, Lip discolouration, Respiratory arrest, Staring
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Dyskinesia (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (broad), Respiratory failure (narrow)
Write-up: the patient is a 15 month old female who presents for evaluation following an "episode." Around 645, the patients mother went to check on her to wake her up from a nap. She is sleeping on her stomach, but doing well. Approximately 10 minutes later, father went to get her up, and found her on her back, with glazed eyes. When he tried to pick her up, he found her to be completely floppy. He called down to his wife, who came upstairs and noticed that her lips were purple (dad is colorblind). That time they decide to call 911. Mother initially states that patient was not breathing, however after further questioning it seems that she was making gurgling, choking, "aspiration" noises. During this time, the patient did bite down on her father''s finger, but they are under the impression that it was more of a reflex than a purposeful behavior. the episode lasted approximately 5-8 minutes, suddenly the patient took a big breath like a sigh, and came back around. Her breathing pattern normalized. After that, mother and father state that she is not acting her normal self, that she is slightly fussier than normal. EMS arrived and checked her glucose (118), recommended transport, but mother and father decided to bring her via private vehicle. She does have a history of developmental delay, but otherwise does not have any chronic medical problems. Last year, she was having some jerking episodes which was thought potentially to the due to seizures, however were found not to be the case. She does have a fever here. Mother and father state that she had not been exhibiting any signs or symptoms of infection. No coughing, congestion, runny nose. She often pulls at her ears and does have ear tubes in place. No nausea, vomiting, or diarrhea. No rashes.

VAERS ID:657352 (history)  Vaccinated:2016-08-27
Age:78.0  Onset:2016-08-28, Days after vaccination: 1
Gender:Female  Submitted:2016-09-06, Days after onset: 9
Location:Alabama  Entered:2016-09-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Chronic Leukemia
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHN050770UNRA
Administered by: Other     Purchased by: Public
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Patient developed rash on shoulder after receiving PREVNAR 13. Rash was still present 2 weeks later. Patient saw PCP and received a steroid shot.

VAERS ID:657356 (history)  Vaccinated:2016-08-24
Age:1.0  Onset:2016-08-24, Days after vaccination: 0
Gender:Male  Submitted:2016-09-02, Days after onset: 9
Location:North Carolina  Entered:2016-09-06, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.M0065440UNLL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM989153UNRL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.M0129900UNRL
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site induration
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Persistent induration and erythema surrounding injection site on right thigh.

VAERS ID:657373 (history)  Vaccinated:2016-09-06
Age:0.5  Onset:2016-09-06, Days after vaccination: 0
Gender:Female  Submitted:2016-09-06, Days after onset: 0
Location:Alabama  Entered:2016-09-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None before reaction. TYLENOL given after
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALS95YX22UNLL
HIBV: HIB (ACTHIB)SANOFI PASTEURUI509AA2UNRL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHM989162UNRL
Administered by: Public     Purchased by: Public
Symptoms: Cough, Rash, Swelling
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 1.5 hours after getting vaccines patient broke out with a rash, swelling of ears. Rash to abdomen, hands, face, ears, bottom. Started with cough. Mom gave pt TYLENOL after onset of symptoms. Rash started resolving about 2 hours after onset.

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